| Tucson Endodontics, Pllc | |
|
1426 W Prince Rd Tucson AZ 85705-3014 | |
| (520) 293-1000 | |
| (520) 293-1038 |
| Full Name | Tucson Endodontics, Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1426 W Prince Rd, Tucson, Arizona |
| Authorized Official Name and Position | Nadia Fragoza (CREDENTIALING MGR) |
| Authorized Official Contact | 5202931000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tucson Endodontics, Pllc 1426 W Prince Rd Tucson AZ 85705-3014 Ph: (520) 293-1000 | Tucson Endodontics, Pllc 1426 W Prince Rd Tucson AZ 85705-3014 Ph: (520) 293-1000 |
| NPI Number | 1679844286 |
|---|---|
| Provider Enumeration Date | 01/13/2012 |
| Last Update Date | 01/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679844286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | D3413 (Arizona) | Primary |
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